Online Therapy: An Overview

Written by the TherapyDecision Editorial Team · Last reviewed: 2026-09-22 · How we research this

Online therapy connects you with a therapist or a structured programme over the internet, instead of - or sometimes alongside - meeting in person. It's grown well beyond a "video call instead of an office visit"; most services now combine several ways of working.

How it typically works

Most online therapy services offer some combination of: scheduled video sessions with a licensed therapist, ongoing text messaging with your therapist between sessions, structured self-paced modules or worksheets (particularly in CBT-based programmes), and progress tracking tools. See how online therapy works for the step-by-step version.

Who tends to find it a good fit

What it's not designed for

Online therapy is generally not the right first step for a mental health emergency, active crisis, or situations requiring immediate, in-person, high-intensity care. If that's where you are, see the crisis resources in our editorial policy, or contact local emergency services.

Explore further

This page may contain affiliate links. If you click through and sign up with a service, we may earn a commission at no extra cost to you. This never affects which options we present or how we describe them.

Online-Therapy.com is a structured, CBT-based online therapy programme - one option worth understanding in detail.

Read Our Online-Therapy.com Review →